以情绪管理训练为主的延续护理模式在抑郁症患者中的应用效果  

Application effect of continuous nursing mode based on emotional management training in patients with depression

作　　者：廖英桃[1] 杨肖嫦[1] 李康来[1] 徐琳芳[1] 陈敏华[1] Liao Yingtao;Yang Xiaochang;Li Kanglai;Xu Linfang;Chen Minhua(Third Affiliated Hospital of Sun Yat-sen University,Guangzhou 510630,Guangdong,China)

机构地区：[1]中山大学附属第三医院,广东广州510630

出　　处：《临床心身疾病杂志》2019年第2期163-165,共3页Journal of Clinical Psychosomatic Diseases

基　　金：中山大学附属第三医院护理科研基金资助项目(编号201606).

摘　　要：目的探讨以情绪管理训练为主的延续护理模式在抑郁症患者中的应用效果.方法将广州某三级甲等医院住院的72例首发抑郁症患者按入院先后顺序分为研究组37例,对照组35例,研究组在出院前1周开始实施以情绪管理训练为主的延续护理干预,对照组按照常规护理在出院时进行出院健康教育,出院后观察12周.于出院前1周及出院后第12周采用汉密顿抑郁量表评定抑郁症状的严重程度,统计分析两组出院12周内的再次住院频次、急诊就诊频次、门诊就诊频次及复发率.结果出院前1周及出院后第12周研究组汉密顿抑郁量表评分显著低于对照组(P<0.01);出院后12周内研究组门诊就诊频次显著高于对照组(P<0.05),复发率(10.81%)低于对照组(25.71%),但差异无统计学意义(χ^2=2.70,P>0.05).结论以情绪管理训练为主的延续性护理能有效改善抑郁症患者出院后的不良情绪,提高门诊就诊频次,降低复发率.Objective To explore the application effect of continuous nursing mode based on emotional management training in patients with depression.Methods 72 cases of first episode depression patients in Guangzhou grade III hospital were divided into the study group(37 cases)and the control group(35 cases).The study group was given continuous nursing intervention based on emotional management training 1week before discharge.The control group was discharged from the hospital for health education and observed for 12 weeks after discharge.HAMD was used to assess the severity of depressive symptoms 1 week before discharge and 12 weeks after discharge.The frequency of re-hospitalization,the frequency of emergency visits,the frequency of outpatient visits,and the recurrence rate within 12 weeks after discharge of the two groups were statistically analyzed.Results The HAMD score of the study group was significantly lower than that of the control group 1 week before discharge(P<0.01).The frequency of outpatient visits in the study group was significantly higher than that in the control group within 12 weeks after discharge(P<0.05),and the recurrence rate(10.81%)was lower than that in the control group(25.71%),but the difference was not statistically significant(X^2=2.70,P>0.05).Conclusion Continuous care based on emotional management training can effectively improve the bad mood of patients with depression after discharge,improve the frequency of outpatient visits,and reduce the recurrence rate.

关 键 词：抑郁症 情绪管理 延续护理 复发率 汉密顿抑郁量表 

分 类 号：R749.4[医药卫生—神经病学与精神病学] R473.74[医药卫生—临床医学]